The Lake Charles echo. [volume] (Lake Charles, Parish of Calcasieu, La.) 1876-1898, 1887-11-11
4 REMARKARl.E aPERATI0M.
Chicago PhyaieisnA Save a Man Who W.
sllot In the stomach,

Chicago Phyaieisns saYe Man who Wa
siot In the stomach.
chicugo Inter Ocean
DR., Gilaa. u Naneredei ef PHILADELPHIA,
Gently road a pHtaf before the American Med-
iqal Asspei4tion, u which, EefsfeiAg to gun
Hl8twDIntls Of the abdomen, he said;
when ytaeefal Wgulds do undoubtedly
exist the tendency ID Invariably toward
the first caee on record west IL New York,
and directly lit contradiction To tile thagFg OF
Or, NanerRlet Is fisW Id ward 2 ui tlle Qpul-
Y agpa 9s saIss e ,Bs m M ad pf M
mHMlefons Rssailalt On Aug. 2a Geo W
Scott, negro .plHaletan, Waa ghpb and ~
was annoi!need bg the police md spI'geNnaat
drunken bfawl. Scott was taken 10 the
County Hospital He was talEeh into the
opeTattng7rapm and the anrEienl house gtaif
surgeon, whose name, al his own request il
suppressed.
t6e history ag The case as relating to its
5lrgieal aspect ~ AZ follp,Nss Hlss assailant 1n
this dasa IL proved to ba his Wife ateOd div
rectly IN front Of him, shout fifteen feet dis
tant The HHn-Bhpt ygouna was inflicted BY q
as.ealiher bullet lle Immediately fell and
was conveyed, A. stated q the county hon-
physician Waa summoned, who very tnitl9
dieioualY nrobed for the bullet procedure
which modesn surgeons never resort y II
bullet Wounds Of thp abdomen The exanlis
nation by the attending surgeon revealed the
wound Of entrance 81 tho bullet At q point
leYel with the ninth RIB and an Inch internal
etheriaed snd t6e sirii,ettss antisepfiG
precautions taken during the epAliz
ing operation, which was. ~ the mnst
haroie nstlira;, Ihe BPundof eptfahce being
80 far from the nledian Hne, tho pperatNF
thought that an inetaion eKpGelnR the track
~ the bHliat would enable hiLn the moro
readily 70 make more thorough eXamina-
ton. Of tile parts aljnrad in itA course, re-
DNlItTH, iii Dg68lDlO. tho fiAIuNpn WYOUGnt.
Taking hiB lRnpe in hand, Die surgeon pro
eeeded very cautiously to divide The Tissues
~ the abdominal wall from the point NJ en-
trance IN a direction downward and Inward
for four Inches. Lager after layer Of muactty
lar and connective tissue wis CAREFULLY ete
thfnuqh until the nlembfanpug lining 81 the
abdominal cavity was reached. After OIL
hemOlFhagn from cut anrfRces hea baPn got
under oontrolt tho membrane WQH also d..
ytdodt and tho contents OF the, abdQinen laid
hare and hEnased TO view. Tho abdominal
EieGefa OF organs were npW u1amined,
NJ Was discovered that the bullethad taken
the following suuraei AfiRr perfpra hlnR the
abdominal Fall, ~ before daRafihsd the hull
| let passed thrpn;, y thH lower margin 81 tho
| LIVER, un through the largo Intestine et tao
| upper eQRYRSitg af tho point who're IL tulns
| from an upward TO tFansverAe DIRECTION,
| From hero it was traced backward and down
back The injury ID tha liver did pab require
| any attention, and In thiG connection enIi-
22R l phggieai phen9nlgnf9A was dsleagqgetdl;t
| did in sh0tts case could NOT, unaog ordinary
! circumstances, touch the liver. hnk IN his
| case 1.-Two Ahats having baAn urea ~ hlni--
| that organ gRs pressed downward from
1 physicaI exeitatiqn 70 g rgbga within she
4 scope 0f tha bullet, Al SGatt's wife fired the
| first shot, the inference Is that RQ great lgas
| his perturbation tia! his liver literally fell
ont Of place and made tho lesion qf that OH
\ gan pqssible. But the injury tp thRt eFgasl
| Was OF 10 slght Nature thRt ~ was mol
| doomed necessary 10 treat it. The wound to
| tho colon .or big Intestine, cpNslatQq Of .
| single perforatlpn, tho Rnund Of entrance
4 and exit being very close tagathng and
| separated only hy y narfoW Rtrip nt tlsAllc.
| This wound, hGEetAfqts fatal In most cases,
1 was treated as f0iloNH; The strip sepa.
rating the, point Of entrance, and
| exit was frHt cnt away and, the
| ragged edges neatly trimmed, GaThoh2ihs
\ sition, and hg the most deiicaEe nRhipnla-
| tipn tho muscular and mun9as surfaced were
| Appropriated, the mucous surfaces being
/ inEerted. Another GatgAt Hltllfe was nov
| introduced to approximate the naIitoneAl
/ surfaee This completed the treatment at
| the intestinal wound. Tho abdominal cavity
| was then cleaused nR blood md particles VI
| undigested food. Tho hbdc4aillhl wall was
| next sutnred in THE lisgRl way the peritOnea
| snrfaeegl BY eagtinnoua egtgpt sutuIesl W
| skin and mnacIilaE tissues By deQp and super
| fetal interrupted silk stiseheF, The fegulal
| gntiseptje dressing WAS applied, and the pa'
| The eptira operation consumed little. lesl
| than Nh hour, ana IL undoubtedly onH ot tht
nloat remarkable in the history nf advanced
surgery. The patient has since displayedbu
| one untoYard Ayiaptptn. voiiii n but 3pli
may have been due salely to alcoholism.